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Individual

DR. THEODORE FRANKLIN MERLETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
616 PINE AVE, NIAGARA FALLS, NY 14301-1754
(716) 284-2242
(716) 205-0012
Mailing address
616 PINE AVE, NIAGARA FALLS, NY 14301-1754
(716) 284-2242
(716) 205-0012

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003956-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01220942
NY
Enumeration date
06/05/2006
Last updated
09/20/2007
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